tci Medicare Compliance & Reimbursement - 2016 Issue 18

Billing Compliance: Why the 60-Day Overpayment Rule is a Qui Tam Waiting to Happen

Like many billing compliance hazards, the 60-day overpayment rule can trip you up — big time, compliance experts warned at the recent American Society of Cataract and Refractive Surgerymeeting in New Orleans. What Is the 60-day overpayment rule again? If your health care organization identifies an overpayment from Medicare or other federal health programs, you have 60 days to return that overpayment, the Centers for Medicare & Medicaid Servicessaid in a rule published earlier this year. So what’s the big deal? Returning one overpayment is simple, but some overpayments aren’t one-time mistakes, healthcare attorney Alan Reider ofArnold...

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